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MARION COUNTY BUILDING INSPECTION <br />,.~ENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:$0 <br />~ ' 24 HOUR CODE-A-PHONE: 58B*7904 <br /> <br /> DATE~ ........ ' ........... <br /> <br /> OATE:. 0§11_'1192 l'lr4B: 13:25:37 <br /> OWN~R~ ............................... T~X L{~'~! ........................... :. ~C~T~G(~Y'. <br /> ~D~E ~OODERLY ~ 40514000 ~ <br /> <br /> 15233 OTTAWAY RD NE ~A~'~I~ ........ ~'"'~B~ ............. :'0CbU~ANT' JOAb; <br /> AU~ OR 97002 ~ <br /> ] ~Ri~ G~NTY ~ Y~ <br />USE OF ~I~NG~ ....... ' ................................. ' ......................................... ' ........................ ~ ' :~0 ~F ~0~. <br /> <br /> ....... ~.,, ,~ ,, .... .. _. ............................... ..~ ..,. , ..... . ....... ........... .~...,.. , ....... :.. ~ <br /> <br />AURORA. OR <br />~'~ONE: 288-5996 <br /> <br />LOT: <br /> <br />'¥YPE: ON-SiTE SEWAGE <br /> <br /> SiTE NLJ~ER; ,92--01928 <br /> VAL,UATI ON: <br />'. ~LOCk: ........... ~'fiO/'/: ................. '~d~iF~ ..... ;-~&~i ............... "~6NEi ..................... ,' <br /> 13 ~S , lW EFU <br /> o~ ~h[,~: ' ..................................... 6.02 !u.l~s: AC i!'r~k'~'c'OY!' No,¢O~W~NO~ . <br /> <br />~ATER ,SUPPLY: <br /> <br />P~Rf~IT OR APPLiCATiON NO: AOlI6 <br /> <br />(,7.}N'I'RACTOR. NO. <br />LAOOIE .F~ODDERLY <br />PO 80.X 364 <br />AURORA, ~R MC~iL~-?S&~I~90 <br />PHONE= 288-5986 <br /> <br />TeS'r HOLP'q READY: YES <br />SITE EVALUATTON NU~ER: <br />· EXiS'rlNG 'rANK SIZE: <br />EXISTING DRAIN FIELD <br />SEPT IC TANK <br />PREVIOUS NO. <br /> <br /> ITEH <br />~['I'E EVALUATION, FiR~l' LOT <br /> <br /> TOTAL ~l~g%,~l~g FEE5 <br /> PREVIC4J$ RE~E[PT~ <br /> THIS REC~i PT <br /> <br /> ,BALANCE DUE <br /> <br />PAYEE: '" <br />RECeiVED ~Y; ~ ~,,,,,~== ............................................ TYPE= CHECK <br />~EE ATT~HEO D~M~T FOR RE~iR~T~ 0F <br /> <br />~(~JANTi'FY AMOUNT <br /> 1 <br /> <br /> 220_00 <br /> <br />$0.00 <br /> <br />NOTE: THI~ DOE~ NOT GRANT OR IMPLY P~I~,II~ION TO BUILD ON THIS PARCEL. PLANNING AND <br />CON~TA~JCTION PERMITS tVLLST BE OBTAINED BEFORE BU1LO~NG OR ~EPTIC INSTALLAT/ON DE~iNS. <br /> <br />R~RKS: SiTE 6¥ALUATION ONLY <br /> <br />OONALD E. NOODLEY, FLa, RiON C~UNI'Y BUILDING OFFICIAL / BY <br /> <br /> <br />